Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02695 | Date 13/09/2022 |
| Token No | SM/22-23/2707 13/09/2022 | Serial | 030 |
| Patient Name | Mr. ALOK PANDIT | Contact No | 9475100476 |
| Address | AMULYA KANAN HOUSING SERAMPORE | Age | 48 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||